CMS ICD-10 Resources

Resources for Providers 

• ICD-10 Quick Start Guide (PDF)
• Provider ICD-10 Resource Guide and Contact List (PDF)
• Infographics: Next Steps (PDF), Use ICD-10 Now (PDF) and ICD-10 (PDF)Billing Success (PDF). 
• Role of Clearinghouses (PDF)

Clinical Concepts Series

Guides include common ICD-10 codes, clinical documentation tips, clinical scenarios, and links by specialty:

• Family Practice (PDF)
• Internal Medicine (PDF)
• Cardiology (PDF)
• OB/GYN (PDF)
• Orthopedics (PDF)
• Pediatrics (PDF)

ICD-10 Basics (Videos)

• Introduction to ICD-10 Coding (2:03)
• ICD-10 Coding and Diabetes (3:23)
• CMS Countdown to ICD-10 (3:14)

Resources for Payers and Vendors

These resources will introduce you to ICD-10, explain why it is necessary, and give you the information you will need to use ICD-10:

• The ICD-10 Transition: An Introduction (PDF)
• ICD-10 Basics for Payers (PDF)
• Talking to Your Customers About ICD-10: Tips for Software Vendors (PDF)

Coding Resources

The Centers for Medicare & Medicaid Services does not provide specific coding guidance.  However, listed below are several resources that may be able to assist you:

• The ICD-10 code lookup tool: /medicare-coverage-database/staticpages/icd-10-code-lookup.aspx 
• Health Care Code Sets: ICD-10 (PDF) (Fact Sheet)
• Web-Based Training (Diagnosis & Procedure Coding)
• For specific coding questions: Specific coding questions should be submitted to the American Hospital Association (the official US clearinghouse on medical coding) via http://www.codingclinicadvisor.com/

Updated ICD-10-CM and ICD-10-PCS codes sets may be obtained free of charge using the Navigation links on this page.

ICD-10-CM Guidelines, may be found at the following website:

• https://www.cdc.gov/nchs/icd/icd-10-cm/   

For questions about Claims Processing and Payment or Local Coverage Determinations, please contact your Medicare Administrative Contractor (MAC) for guidance. You can find the list of MACs at this link: /Medicare/Coding/ICD10/ICD-10-Provider-Contact-Table.pdf  (PDF)

For questions about National Coverage Determinations: /Medicare/Coverage/InfoExchange/contactus

For requests to update the ICD-10-PCS procedure codes, please note CMS only accepts ICD-10-PCS procedure code requests submitted via the Medicare Electronic Application Request Information System™ (MEARIS™). The ICD-10-PCS code request application can be accessed at: https://mearis.cms.gov. For guidance regarding the request submission process, please refer to the “Resources” section at: https://mearis.cms.gov/public/resources.

For requests to update the ICD-10-CM diagnosis codes, please note that the Centers for Disease Control and Prevention (CDC) is responsible for the development and maintenance of ICD-10-CM. Please send your ICD-10-CM questions or comments to: nchsicd10cm@cdc.gov.

Please contact your Regional Office if you have additional questions: /Medicare/Coding/ICD10/CMS-Regional-Offices